D rug and A lcohol S ervices I nformation S ystem

The DASIS Report
March 2001
October 24, 2003

Facilities Primarily Serving Adolescents: 2002

T

he National Survey of Substance Abuse Treatment Services (N-SSATS) is an annual survey

In Brief
● Nationally, 7 percent of substance

abuse treatment facilities had a client population that was predominantly adolescent
● Only 8 percent of clients in

adolescent facilities were treated for alcohol abuse alone compared with 22 percent in adult facilities and 28 percent in facilities serving both groups (i.e., mixed facilities)
● Adolescent facilities were more

likely than adult facilities to offer special programs for clients with co-occurring substance abuse and psychological problems (57 vs. 46 percent)

of all facilities in the United States, both public and private, that provide substance abuse treatment. This issue of The DASIS Report provides data on the substance abuse treatment facilities that primarily served adolescents. In 2002, the NSSATS survey collected data from 13,843 facilities, of which 897 (7 percent) served primarily clients younger than 18 years old (75 percent or more of their clients). For this report, these are characterized as “adolescent” facilities. The 897 adolescent facilities had 31,800 clients younger than age 18 in treatment on the survey response date, March 29, 2002. This was 34 percent of all clients younger than 18. The two-thirds (65 percent) of facilities with no clients younger than 18 years old are categorized as “adult” facilities. The remaining 28 percent of facilities, which served both adults and adolescents, are referred to as “mixed” facilities.

The DASIS Report is published periodically by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA). All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Additional copies of this report or other reports from the Office of Applied Studies are available on-line: http://www.DrugAbuseStatistics.samhsa.gov. Citation of the source is appreciated.

DASIS REPORT: FACILITIES PRIMARILY SERVING ADOLESCENTS: 2002

October 24, 2003

Table 1. Facility Ownership, by Whether Facilities Primarily Served Adolescents: 2002
Type of Ownership Adolescent Facilities Adult Facilities Mixed Facilities

Figure 1. Problems for which Clients Were Treated, by Whether Facilities Primarily Served Adolescents: 2002
Alcohol Abuse Only Drug Abuse Only Abuse of Both Alcohol and Drugs 100

No.
Private Non-Profit Organization Private For-Profit Organization Local Government State Government Other All 679 131 45 31 11

%
75 15 5 4 1

No.
5,481 2,308 621 294 368

%
61 25 7 3 4

No.
2,211 1,053 368 112 130

%
57 27 10 3 3
Percent

80 60 40 20 0 19 8

73 54 55

22

24

28 17

897 100

9,072 100

3,874 100

Adolescent Facilities

Adult Facilities

Mixed Facilities

Source: 2002 SAMHSA National Survey of Substance Abuse Treatment Services (N-SSATS).

Ownership
Three-quarters (75 percent) of adolescent facilities were operated by private non-profit organizations, whereas 61 percent of adult facilities and 57 percent of mixed facilities were operated by private non-profit organizations (Table 1). The proportion of adolescent facilities operated by private forprofit organizations (15 percent) was less than the proportion of adult (25 percent) or of mixed facilities (27 percent).

abuse treatment compared with 21 percent of adult facilities and 35 percent of mixed facilities.

Type of Care
Most adolescent facilities (68 percent) reported providing outpatient care, although this type of care was more frequently provided by adult facilities (76 percent) and mixed facilities (96 percent) (Figure 2). A higher proportion of adolescent facilities (44 percent) offered non-hospital residential care than did adult facilities (33 percent) or mixed facilities (11 percent).

Problems for Which Clients Were Treated
In adolescent facilities, 73 percent of clients were treated for both alcohol and drug abuse problems, whereas about 55 percent each of clients in adult and in mixed facilities were treated for both problems (Figure 1). Only 8 percent of clients in adolescent facilities were treated for alcohol abuse alone, less than the proportion in adult facilities (22 percent) and in mixed facilities (28 percent). Clients in adolescent facilities and in mixed facilities were equally likely to be treated for drug abuse alone (about 18 percent), while clients in adult facilities were more likely to be treated for drug abuse alone (24 percent).

Primary Focus
Sixty-one percent of adolescent facilities primarily focused on substance abuse treatment. A larger percentage of adult facilities (64 percent) had this as their primary focus, while a smaller percentage of mixed facilities (52 percent) primarily focused on substance abuse treatment. One-quarter (25 percent) of adolescent facilities primarily focused on a mix of mental health and substance

Services and Special Programs
The services offered most frequently at adolescent facilities included individual therapy (97 percent), group therapy (94 percent), substance abuse assessment (90 percent), discharge planning (86 percent), and drug/alcohol urine screening (80 percent). These proportions differed little from those offered by adult and mixed facilities.

October 24, 2003

DASIS REPORT: FACILITIES PRIMARILY SERVING ADOLESCENTS: 2002

Figure 2. Type of Care Provided, by Whether Facilities Primarily Served Adolescents: 2002
Outpatient Hospital Inpatient 100 80 68 76 Non-Hospital Residential Day Treatment/Partial Hospital 96

Figure 3. Types of Payment Accepted, by Whether Facilities Primarily Served Adolescents: 2002
Cash or Self-Payment Medicaid Federal Military Insurance 100 80 77 62 58 41 40 26 20 0 18 62 47 26 28 32 89 Private Health Insurance State-Financed Health Insurance Medicare 95 83 63 45 41 44

Percent

44 40 20 4 0 Adolescent Facilities Adult Facilities Mixed Facilities 15 9 33 15 11 15 6

Percent

60

60

Adolescent Facilities

Adult Facilities

Mixed Facilities

In addition to services, facilities offered special programs or groups for particular populations. Ninety-one percent of all adolescent clients were in facilities with a special program for adolescents. This included the third of all adolescent clients (34 percent) in adolescent facilities (which, by definition, offered special programs for adolescents), and the 57 percent of all adolescent clients in mixed facilities that offered a special program for

adolescents. In addition, adolescent facilities were more likely than adult facilities to offer special programs for clients with co-occurring substance abuse and psychological problems (57 vs. 46 percent).

accepted by adult facilities (89 percent) and mixed facilities (95 percent) (Figure 3). A majority of adolescent facilities also accepted private health insurance (62 percent) and Medicaid (58 percent). Nearly half of adolescent facilities and of adult facilities had agreements or contracts with managed care organizations (48 and 46 percent, respectively). Two-thirds (65 percent) of mixed facilities had such contracts.

Payment and Managed Care
Most adolescent facilities (77 percent) accepted cash or selfpayment, although this type of payment was more frequently

The Drug and Alcohol Services Information System (DASIS) is an integrated data system maintained by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA). One component of DASIS is the National Survey of Substance Abuse Treatment Services (N-SSATS), an annual survey of all facilities in the United States, both public and private, that provide substance abuse treatment. N-SSATS was formerly known as the Uniform Facility Data Set (UFDS).

The DASIS Report is prepared by the Office of Applied Studies, SAMHSA; Synectics for Management Decisions, Inc., Arlington, Virginia; and RTI, Research Triangle Park, North Carolina.
Information and data for this report are based on data reported to N-SSATS for the survey reference date March 29, 2002. Access the latest N-SSATS/UFDS reports at: http://www.samhsa.gov/oas/dasis.htm Access the latest N-SSATS/UFDS public use files at: http://www.samhsa.gov/oas/SAMHDA.htm Other substance abuse reports are available at: http://www.DrugAbuseStatistics.samhsa.gov
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Office of Applied Studies www.samhsa.gov